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The Insurance Follow up Specialist Level I is responsible for following up directly with commercial and governmental payers to resolve billing issues and secure appropriate reimbursement in a timely manner, on both facility and professional claims. This individual identifies and analyzes denials and payment variances and enacts corrective measures as needed to effectively
Posted 10 days ago
Part of a team of legal professionals that designs comprehensive estate and business plans for clients with complex planning needs. Provides in depth case consultation and strategy, and reviews and analyzes legal documents and provides written overviews.Uses planning expertise to develop and deliver customized plans for high net worth clients and business owners. Requires
Posted 3 days ago
MARS Solutions Group
- Franklin, WI / Milwaukee, WI / Oak Creek, WI
EXCELLENT LOCAL OPPORTUNITY!
Posted 1 month ago
Provides technical expertise for assigned product line(s) in the handling of complex, contestable, sensitive and large benefit amount claims. Primary Duties & Responsibilities Responsible for providing technical expertise to applicable product line benefits division in the handling of complex, contestable, sensitive and large benefit amount claims. This includes responsib
Posted 3 days ago
Analyze and evaluate private equity and private credit investments across a wide range of industries. Develop investment theses. Perform detailed financial analysis and modeling. Assist in the writing of investment memos and present opportunities during investment committee discussions. Cultivate relationships with internal and external stakeholders, including senior leve
Posted 3 days ago
Analyze, evaluate, and execute private equity and private credit investments. Develop investment theses. Perform detailed financial analysis and modeling. Author investment memos and lead investment committee discussions. Cultivate relationships with internal and external stakeholders, including senior level executives, legal counsels, investment bankers, and private equi
Posted 3 days ago
Builds relationships with Financial Advisors and internal partners. Develops the skills necessary to successfully underwrite Life, Disability, and/or Long term Care insurance policies in an inclusive and fast paced environment ensuring all quality, service and production goals are met. Primary Duties & Responsibilities Field & Client Experience Responsible for credible an
Posted 3 days ago
Responsible for technical analysis/processing of 1035 exchange life insurance applications, and determination of funds allocation and transaction legality. Responsible for initial review, obtaining requirements, and processing of exchange proceeds, you will report on non prepaid cases and accuracy of the cost basis adjustments; meet all service expectations and regulatory
Posted 3 days ago
Provide leadership and oversight of Disability Income claims operations, ensuring claims are being administered in compliance with applicable state laws and regulations. Manages teams that both administer claims and support claims through recruitment, selection, training, development, motivation, and salary administration of staff. Primary Duties & Responsibilities Respon
Posted 3 days ago
Analyze and develop solutions addressing customer Electronic Data Interchange (EDI) and punchout catalog needs. Qualify, develop and implement EDI and punchout catalog partnerships with Uline's customers. Serve as liaison between Uline's eCommerce, Sales and IT teams and our customers. Assist with testing new EDI and punchout catalog implementations and troubleshooting is
Posted 1 day ago
At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family res
Posted 18 days ago
Responsible for researching and resolving unpaid insurance claims and customer inquiries/ complaints for high volume Managed Care contracts. Other duties as assigned. EXPERIENCE DESCRIPTION A minimum of 5 years of business office experience in billing, customer service, or collections in a healthcare environment is required. EDUCATION DESCRIPTION High School diploma or eq
Posted 7 days ago
This role will have all responsibilities of coder I, II and III in addition to reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD 10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations
Posted 9 days ago
Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai
Posted 22 days ago
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